HomeMy WebLinkAboutSump Pump Inspection~ I'~ ~ ~ , ~ `"` ~~ v)c -~ . ~; r- : C'
City of Prior Lake
Sump Pump and I/I Reduction
Ins~ection Form
_._~__
Name: ~. o h, ~l o~~ r~
Address: /!"~ ~,7 ~~y1,~,c ~w. ~~
Prior Lake, MN 55 ; 7~ Phone: ~/ ~/ 7~ !.~ `t ~'
f.
Date: ~~ /% 9 Time: iUVo a.m./p.m.
First Inspection C3'
Own: (~ Rent: ~
ResidentiaL• L~'`
Non-Residential: ~
Second Q
Age of Home: / =
wu ~ L~ ~ t
A. BASEMENT ~`es ~ No SiJMP BASKET Q 0 L3'~1 ~ 2 ~ 3 ~
WATER IN BA5KET L3'~es Q No SIJMP PUMP ~0 O 1 ~ 2 ~ 3 O
WATER IN BASEMENT (flow over floor) ~ Yes L~1o CI5TERN a Yes C~-Pdo
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer L~ Outside
at Inspection: O Floor drain a Other
Prior to Inspection:
When was system installed, or most recently modified? (Date).
~ Home came with sysiem O Response to inspection program ~ Other
~ Water in basement Q Previous system failed
B. ROOF LEADER5: ~Yes ~ No
C. YARD DR.AINS ~ Yes L~' No
BEAVER SYSTEM ~ Yes ~''~To
and why
DISCHARGE: I~'''Near ~ Away
WINDOW WELLS
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring
(check all that apply) How often does pump run?
V~here does pump discharge to outside? Q Front a Back
NOTES:
Q Yes ~''1~10
~ Winter
~ Side
SUMP PUMP SYSTEM: Q~PASS ~ FAIL You have 30 days to bring your system into compliance with current
regu[ations. When you are ready for reinspecuon, ca11651 /644-1469 for an appointment.
Is there another place where clear water enters the sanita.ry sewer system? ~Yes ~ No
Where is this location? ~ o~ ~ c~ e- l~ w,1, ; J: ~; r r~
This area will need to be fixed so the clear water discharges to the storm sewer system.
I Inspector: ~-r.~ <°~-~~~_. Date: .~. -/- 9`1 I
Resident: /N~ ~,}, Date: ~ _ /- 9 y
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imulv the structure meets all Citv Codes.
White: Homeowner Yellow: City Pink: HRG